Valgus deformity — a common disease that is also known under several other names. The doctors say about hallux valgus and hallux valgus flat feet. People that are not associated with medicine, referred to simply as a "what" or halus valgus.
Pathology easy to identify. With the inner parts of the legs appear thickening in the form of corns. Regularly it hurts and gradually increases in size. At the same time the big toe starts to veer to the side of the second finger, in more advanced cases, the criss-cross with him. Along with the aesthetic flaws, there arises a serious problem: the inability to use the boots, even every day. The following phases of the development of the disease become arthritis and bursitis, the inability of independent movement.
Most often, the first finger is deformed in women prefer to wear shoes with high heels (over 4 cm). In addition, it is a professional disease of the ballerinas. Excessive load give of themselves know not now, but later, in time to remedy the situation is already more complicated.
Globally all operations on the removal of the halus valgus are divided into minimally invasive and open. Minimally invasive is performed through small incisions on the skin. In most cases, you do not even need to save the seams. Recovery takes place quickly and easily.
The open operational interventions include three categories:
Example — operations Mc-Bride. Dissect the muscles and ligaments of the foot. The bones are not affected. Intervention effectively at small deformation, can be met in the case of contraindications from the pain of the joint system.
Carried out artificial fractures of the metatarsal bone. Fracture site picks up the doctor. Thanks to this fixed position of the hock
Surgery is used in more advanced stages of the valgus deformity, when it is needed to return the physiologic shape of the joints between the.
The doctor, of all available to him the methods of operative interference, she chooses the one that best solves the problems of a particular patient.
Surgery requires previous training. It is necessary to obtain the results of certain analyses. Among them, clinical and biochemical blood and urine tests, cbc with advanced coagulogram, tests for infections transmitted through blood. Prescribe electrocardiography, spend chest x-rays of the feet (in two planes).
If a contraindication to surgery to remove the halus valgus is not revealed, it is possible to arrange the method of anesthesia. More often it is quite enough for local pain relief.
The most common surgical method of correction of valgus deformity is the distal osteotomy. The operation proceeds in several steps:
The first phase of the
Azotobacteria or the removal of the "blister". In non is not permitted cases, this phase may be the only. Through a small incision in the skin or even without incision, endoscopically, are removed alone exostosis (what) and the inflamed joint of the bag.
The second phase of the.
High osteotomy. Using artificial fractures leveled condition of the first metatarsal bone. Instead of fracture of titanium with screws. They are cleaned a month later, after the bone completely coincide.
The third phase of the.
Dissection of the muscles, responsible for abduction of the thumb.
The fourth, final stage.
Anchoring the thumb physiologic position.
Fix the position of the thumb conservative methods is possible in childhood, when the bones of the skeleton is still formed. In all other cases, only help the operation. The basic statements are:
Indications determined by a physician individually for each patient. Usually surgical methods are used only when conservative (conventional method, without surgery) is still not effective.
Operative intervention is very effective. Unfortunately, they have a number of contraindications, when its fulfilment is impossible:
Among people there are many myths relating to the surgical, how to get rid of the "blister". To refute some of them.
Can't do the surgery, if it is arthritis, and osteoarthritis. In fact, these diseases are considered relative contraindications. Operations are possible, only a doctor will treat you with more attention.
It is useless to work: what else he will grow up soon. In high quality implementation of the intervention the probability of the re-development of a valgus deformity to zero. Recurrence arise, but very rarely.
Have long to sit without moving and wearing plaster. Modern technologies give the opportunity to move on their own is already a few hours after the procedure. The bones, which have to be signed by the special design, so should be in the cast is not.
halus valgus treatment surgical method is one of the safest. Complications occur very rarely. Among side effects occur:
Very important is the recovery period after surgery is performed to remove the halus valgus. It is 4-6 months. For detailed instructions on how to behave in the rehabilitation period, gives the doctor.
There are common points of rehabilitation, which is the need to know all the patients.
The first and second day. Bed rest. Move you can, but it is better aktivnichat. It is recommended that the feet on an elevated place, and occasionally, if no pain, wiggle toes.
On the third day. You can start to slowly move. It is important to choose a comfortable brace and shoes, which after the operation should be special, the removal of the burden operates part of the forefoot. In most cases, used shoes Baruka (the French surgeon who invented them), exonerandas front of the front legs when walking. In the first time, for the addictive, you can ensure yourself an additional support in the form of sticks or crutches. Later three-five days, which is no longer needed.
10-14 days. The period of doctoral supervision. In the case of a serious operation the whole time the patient may spend at the clinic. Recommended feats of therapeutic physical training and physical therapy. Long to be on your feet, is undesirable.
After 1-1,5 month pass out need a in ortézae, but the shoes after the surgery, it is better to use with suitable orthopaedic insoles.
After 2 months you can treat yourself to treadmills and swim in the pool.
Within three months, may persist swelling of the feet and ankle joint. At this time it is recommended to apply cool compresses, wear a compression stocking.
After 4-6 months it is possible to move, without ortézaa, continue in sports, wear high-heeled shoes. Quality recovery and rapid rehabilitation of the require to make a choice in favor of comfortable wide shoes. Don't forget to create comfortable conditions for your feet to unpleasant situation is repeated again.